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To the Editor: Dr Gustafson and colleagues¹ have described the use of a Comprehensive Health Enhancement Support System (CHESS) for patients with breast cancer and other serious diseases. If CHESS is effective, the support it would provide at an optimal time could indeed be beneficial for patients who are newly diagnosed as having cancer and other serious diseases. These benefits could include social and emotional support at the time of diagnosis; information on the prognosis so that the patient could plan her or his life; information on the choice of therapy so that the patient could make an informed decision; and information on a variety of services, such as rehabilitative, cosmetic, occupational therapy, and vocational training services where applicable.

The data presented by Gustafson et al are identical to the population and results of a feasibility study conducted by the same authors in 1996.² This study, supported by a grant . . . [Full Text of this Article]

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